Get Claim For Sickness Benefit - Belize Social Security Board

Filling out the Claim For Sickness Benefit is an essential process for individuals seeking financial support during periods of incapacity for work. This guide provides a clear, step-by-step approach to effectively complete the form online, ensuring that users can submit their claims accurately and efficiently.

Follow the steps to successfully complete your claim online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin with Part I, where you will fill in your particulars as the insured person. Enter your full name as it appears on your Social Security card, followed by your Social Security number, date of birth, address, and contact details.
3. In Part II, provide your employment particulars. Specify your employer’s name, the ministry or department if you work for the Government of Belize, your business address, and the last day and time you worked prior to your incapacity.
4. Indicate whether your incapacity was caused by a workplace accident and, if you have been with your current employer for less than one year, list any previous employers along with employment periods and addresses.
5. Proceed to Part III to detail your method of collecting the benefit. Enter the financial institution’s name and your account number, verifying that the provided information is accurate.
6. In Part IV, complete the insured person’s declaration. Confirm whether you are engaged in insurable employment, specify the dates for which you are claiming sickness benefit, and authorize your doctor to disclose your medical condition.
7. Finally, fill in the medical certificate of incapacity for work in Part V. Your treating doctor will complete this section, certifying your incapacity and specifying the period of illness.
8. Review your completed form for accuracy, and save your changes. You may then download, print, or share the form as needed before submission.

Complete your Claim For Sickness Benefit online today to ensure timely support for your needs.